
<%@include file="/WebPages/Includes/header.jsp"%>
<%@include file="/WebPages/Includes/startBody.jsp"%>
<%@include file="/WebPages/Includes/tablesorter.jsp"%>
<%@include file="/WebPages/Includes/navbar.jsp"%>
<%@include file="/WebPages/Includes/startMainContent.jsp"%>
<%@include file="/WebPages/Includes/leftSidebar.jsp"%>

<div class="col-lg-8 col-md-8 col-xs-12 col-sm-9">
	<hr>




	<div class="table-responsive"
		style="overflow-x: auto; overflow-y: auto;" id="tableDiv"></div>


	<h1>
		<strong>Contact Details</strong>
	</h1>
	<form id="followUpForm" method="post">
	<div class="form-group">
		<label class="control-label" for="cfReason">Not Contacted ID </label>
		<select class="form-control" onchange="fillContactdata(this.value)"
			name="contacts" id="contacts">
		</select>
	</div>
	<div class="form-group">
		<label class="control-label" for="cfEmail">Email</label> <input
			class="form-control" id="cfEmail" name="cfEmail" placeholder="Email"
			type="text" />
	</div>
	<div class="form-group">
		<label class="control-label" for="cfMobile">Mobile</label> <input
			class="form-control" id="cfMobile" name="cfMobile"
			placeholder="Mobile" type="text" />
	</div>
	<div class="form-group">
		<label class="control-label" for="cfType">Type</label> <input
			class="form-control" id="cfType" name="cfType" placeholder="Type"
			type="text" />
	</div>
	<div class="form-group">
		<label class="control-label" for="cfReason">Reason</label> <input
			class="form-control" id="cfReason" name="cfReason"
			placeholder="Reason" type="text" />
	</div>
	<div class="form-group">
		<label class="control-label" for="cfNeedAdvertisement">Needs
			Advertisement?</label> <input id="1" type="radio" value="1"
			name="cfNeedAdvertisement" />Yes <input id="0" type="radio" value="0"
			name="cfNeedAdvertisement" />No
	</div>

	<input type="hidden" name="uaCode" id="uaCode" />

		<h2>
			<strong>Follow Up Details</strong>
		</h2>
		<div class="form-group">
			<label class="control-label" for="fdLog">Remarks</label> <input
				class="form-control" id="fdLog" name="fdLog"
				placeholder="Remarks" type="text" />
		</div>
		 
		<button class="btn btn-primary" id="request"
			onclick="storefollowUpDetails();" type="button">Request</button>
	</form>






</div>

<%@include file="/WebPages/Includes/rightSidebar.jsp"%>
<%@include file="/WebPages/Includes/endMainContent.jsp"%>
<%@include file="/WebPages/Includes/footer.jsp"%>

<!-- custom scripts here -->
<script src="./../../customJS/Webadmin/ContactCustomer.js"></script>

<%@include file="/WebPages/Includes/endBody.jsp"%>